产前检查nullAntenatal and Postpartum careAntenatal and Postpartum care Li Hua
Peking University Third Hospital
孕前期孕前期遗传疾病,遗传咨询
生育年龄:21-29
Contraception
盆腔检查
TORCH: IgG IgM
TCT
叶酸
早孕期(≤12 weeks)早孕期(≤12 weeks)Diagnosis
Hegar sign
Pregnancy test
Ultrasound
Before 12...
nullAntenatal and Postpartum careAntenatal and Postpartum care Li Hua
Peking University Third Hospital
孕前期孕前期遗传疾病,遗传咨询
生育年龄:21-29
Contraception
盆腔检查
TORCH: IgG IgM
TCT
叶酸
早孕期(≤12 weeks)早孕期(≤12 weeks)Diagnosis
Hegar sign
Pregnancy test
Ultrasound
Before 12 weeks Before 12 weeks Health care
孕10w建卡:EDC推算
高危妊娠初筛
用药遵医嘱
生活规律
13w:NT
孕期监护主要通过定期产前检查完成
During 13-27 weeks During 13-27 weeksVisit every 4 weeks
18-22weeks Ultrasound examination (2nd)
24-28 weeks GCT (glucose screen test), and OGTT (oral glucose tolerance test)
During 28-36 WeeksDuring 28-36 WeeksVisit every two weeks
Ultrasound examination
Fetal position
Assessment of pelvis
GCT and OGTT if necessaryDuring 36-41 WeeksDuring 36-41 WeeksVisit every week
Physical examination
Fetal position
Monitoring of fetal heart (NST)
Check the EDD中晚期妊娠(胎儿检查)中晚期妊娠(胎儿检查)估计胎儿大小:
手测宫底高度,尺测
Fetal position
四步触诊(leopold maneuvers)
Fetal heart
Doppler (FH: 10 week)
中晚期妊娠(产道检查)中晚期妊娠(产道检查)骨盆外测量(external pelvimetry)
髂棘间径(interspinal diameter,IS):23-26cm
髂嵴间径(intercristal diameter,IC):25-28cm
骶耻外径(external conjugate,EC):18-20cm
坐骨结节间径(intertuberal diameter,IT)or
出口横径(transverse outlet,TO):8.5-9.5cm
出口后矢状径:
耻骨弓角度(angle of pubic arch)
骨盆内测量(internal pelvimetry)
对角径(diagonal conjugate,DC):12.5-13cm
坐骨棘间径(interspinous diameter):10cm
坐骨切迹宽度:容纳3指
中晚期妊娠(胎儿监护)中晚期妊娠(胎儿监护)Fetal movement(FM: 20 week)
胎动自测法:≥30/12hr or ≥4/hr
ultrasound:
核对孕周,宫内生长发育
胎心监护
null胎心监护胎心监护BFHR:基线摆动(振幅10-25bpm,变异频率≥6次/分)
acceleration:≥15bpm >15s
Deceleration
Early deceleration(ED):<50bpm,时间短
Variable deceleration(VD):>70bpm,时间不一,恢复快
Late deceleration(LD):<50bpm,长,慢
NST:反应型
OCT or CST
nullnullPostpartum carePostpartum careCommunity care
42 days postpartum
Pelvic examination
Advise of contraception
nullThank you
for listening
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